Healthcare Provider Details

I. General information

NPI: 1518704469
Provider Name (Legal Business Name): VANETTE M. SANCHEZ, LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 CAMINO DEL BOSQUE
SANTA FE NM
87507-5325
US

IV. Provider business mailing address

26 PALACIO RD
SANTA FE NM
87508-2248
US

V. Phone/Fax

Practice location:
  • Phone: 505-231-2758
  • Fax:
Mailing address:
  • Phone: 505-603-0928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VANETTE SANCHEZ
Title or Position: OWNER
Credential:
Phone: 505-231-2758